COURTNEY E KELLY (NPI# 1720595549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720595549 |
| Entity Type | Individual |
| Full Name | COURTNEY E KELLY |
| Credential | ARNP |
| Practice Address |
1550 S Water St Starke FL 32091-4511 |
| Practice Telephone | 9043682480 |
| Mailing Telephone | 9043682480 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9342822 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073903266 | Courtney Kelly | Behavioral Analyst | 7 E Creek Cir, Guilford, CT 06437-2821 | 2015-01-27 |
| 1215541438 | Courtney Kelly | Social Worker | 311 Albert Sabin Way, Cincinnati, OH 45229-2838 | 2020-09-04 |
| 1134743768 | Courtney Kelly | Speech-Language Pathologist | 5835 Harbour View Blvd, Suffolk, VA 23435-2601 | 2020-05-29 |
| 1235759077 | Courtney Kelly | Dentist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-22 |
| 1457988594 | Courtney Alexandra Kelly | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 200, Indianapolis, IN 46260-1972 | 2020-03-26 |
| 1407330913 | Courtney Parker Kelly | Dentist | 100 57th St S, Birmingham, AL 35212-2541 | 2018-09-20 |
| 1578966735 | Courtney Kelly | Nurse Anesthetist, Certified Registered | 4150 Nelson Rd Ste A4, Lake Charles, LA 70605-4169 | 2014-10-02 |
| 1295081933 | Courtney W Kelly | Pharmacist | 132 Alden Rd, Fairhaven, MA 02719-4721 | 2012-07-31 |
| 1831426725 | Courtney Lee Kelly | Nurse Practitioner | 8808 Balboa Ave, San Diego, CA 92123-1592 | 2009-11-12 |
| 1265628275 | Courtney Ann Kelly | Physician Assistant | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2007-09-24 |
| Street Address |
1550 S WATER ST |
| City | STARKE |
| State | FL |
| Zip Code | 32091-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396772604 | Anne Louise Perantoni | Nurse Practitioner | 1550 S Water St, Starke, FL 32091-4511 | 2006-06-26 |
| 1215331350 | Starke Hma, LLC | Pediatrics | 1550 S Water St, Starke, FL 32091-4511 | 2014-10-17 |
| 1891127189 | Trisha Kamika Brown | Pediatrics | 1550 S Water St, Starke, FL 32091-4511 | 2013-08-08 |
| 1720392772 | David Bryan Kirkland | Nurse Practitioner | 1550 S Water St, Starke, FL 32091-4511 | 2010-08-02 |
| 1114144995 | Gayle Shuford Nicula | Nurse Practitioner | 1550 S Water St, Starke, FL 32091-4511 | 2007-04-20 |
| 1205970134 | Joelle M Innocent-simon | Family Medicine | 1550 S Water St, Starke, FL 32091-4511 | 2007-02-16 |
| 1457448284 | Starke Hma LLC | Clinic/Center | 1550 S Water St, Starke, FL 32091-4511 | 2006-10-05 |
| 1578665741 | Dona Hunt | Family Medicine | 1550 S Water St, Starke, FL 32091-4511 | 2006-09-01 |
| 1174539118 | Dung Nguyen Le | Family Medicine | 1550 S Water St, Starke, FL 32091-4511 | 2006-07-31 |
| 1598771545 | Michael Clay Gilhooly | Nurse Practitioner | 1550 S Water St, Starke, FL 32091-4511 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548758428 | North Florida Pediatrics, Pa | Pediatrics | North Florida Pediatrics, Pa, 417 East Call Street, Starke, FL 32091 | 2018-04-26 |
| 1568849313 | Myhealth Medical Association | Clinical Nurse Specialist | 3900 Se 38th Ave, Starke, FL 32091 | 2015-04-30 |
| 1801043641 | Michael Leonard Schlofman | Optometrist | 292 Lafayette St, Starke, FL 32091 | 2008-08-22 |
| 1790945236 | Nf Windsor LLC | Skilled Nursing Facility | 602 E. Laura Street, Starke, FL 32091 | 2008-06-09 |
| 1457564312 | Betsy Regina Ledbetter | Developmental Therapist | 417 W. Call St., Starke, FL 32091 | 2007-05-08 |
| 1841322245 | Melissa Diane Smith | Massage Therapist | 9551 Nw Cr 225, Starke, FL 32091 | 2007-03-12 |
| 1619010220 | Sunil Choudary Paladugu | Pharmacist | 470 W Madison St., Starke, FL 32091 | 2007-02-14 |
| 1043356215 | Shri Sairam Drugs LLC | Pharmacy | 395 W Madison St, Starke, FL 32091 | 2007-01-29 |
| 1962582742 | Virgil A Berry Jr. | Chiropractor | 601 E Call St, Starke, FL 32091 | 2006-10-16 |
| 1497786099 | Thomas Joseph Collins | Physician Assistant | 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 | 2006-07-05 |
| Find all providers in zip 32091 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194356139 | Ester Shupe | Nurse Practitioner | 550 Georgia St, Starke, FL 32091-1816 | 2020-01-29 |
| 1164064804 | Tiffany N Rogers | Nurse Practitioner | 550 Georgia St, Starke, FL 32091-1816 | 2019-10-15 |
| 1801374681 | Mary Thornton Konkel | Nurse Practitioner | 345 W Madison St, Starke, FL 32091 | 2018-08-02 |
| 1164970364 | Bryan John Goss | Nurse Practitioner | 922 E Call St, Starke, FL 32091-3616 | 2016-09-15 |
| 1952659872 | Norma Jean Davis | Nurse Practitioner | 1801 N Temple Ave, Starke, FL 32091-1960 | 2012-08-27 |
| 1720392772 | David Bryan Kirkland | Nurse Practitioner | 1550 S Water St, Starke, FL 32091-4511 | 2010-08-02 |
| 1285877258 | Tammy Jean Williams | Nurse Practitioner | 1801 N Temple Ave, Starke, FL 32091-1960 | 2009-04-07 |
| 1114144995 | Gayle Shuford Nicula | Nurse Practitioner | 1550 S Water St, Starke, FL 32091-4511 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588413 | Arnol Miguel Chacon Chacon | Nurse Practitioner | 1001 Rich Dr, Palm Springs, FL 33406-6508 | 2020-11-08 |
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1609477348 | Danielle Schmidt | Nurse Practitioner | 7803 34th Ct E, Sarasota, FL 34243-2867 | 2020-11-07 |
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1114528874 | Wandering Michelle, LLC | Nurse Practitioner | 526 Wekiva Bluff St, Apopka, FL 32712-2776 | 2020-11-07 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1891396818 | Gilberto Fernandez Sr. | Nurse Practitioner | 8021 Nw 166th St, Miami Lakes, FL 33016-3421 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.